<abstract xmlns="http://www.w3.org/1999/xhtml"><sec><h3>Introduction</h3><p>The objective of this study was to assess pre-treatment quality of life and the relevant clinical variables in adult patients with malocclusion in order to improve orthodontic treatment strategies.</p></sec><sec><h3>Methods</h3><p>The study was conducted in 240 consecutive adult patients with malocclusions divided into two groups: patients for whom an orthodontic treatment plan was considered, and patients for whom an orthognathic treatment plan was selected. Patients were examined between December 2015 and February 2017, at the School of Dental Medicine, University of Belgrade. Malocclusion severity was recorded using the Peer Assessment Rating index pre-treatment score. Skeletal malocclusion parameters were measured using lateral cephalometric radiographs. Quality of life was assessed by means of a generic questionnaire (Medical Outcomes Study Short Form-36 (SF-36)), and the disease-specific Orthognathic Quality of Life Questionnaire (OQLQ).</p></sec><sec><h3>Results</h3><p>There were significant differences in the mean values of the OQLQ domain scores between orthodontic and orthognathic patients. Patients for whom orthodontic treatment was planned had statistically significantly lower scores in comparison to those for whom orthognathic treatment was planned. This was the case in all OQLQ domains except for “Awareness of facial deformity”. Statistically significant correlations (p&lt;0.05) were presented between OQLQ scores and following demographic and clinical variables: gender, age, malocclusion severity, maxillary and mandibular sagittal, maxillary vertical, and lower incisor positions, intermaxillary angle, and the Beck Depression Inventory and Beck Anxiety Inventory levels. The independent predictors for the planning of orthodontic and orthognathic treatment in patients with malocclusion were two OQLQ domains, “Facial aesthetics” and “Awareness of facial deformity”, as well as total OQLQ score, after adjustment for demographic characteristics, skeletal parameters, anxiety and depression.</p></sec><sec><h3>Conclusions</h3><p>Our findings suggest that patients for whom orthodontic treatment was planned demonstrated better quality of life according to the OQLQ scores in comparison to those for whom orthognathic therapy was planned.</p></sec></abstract>

IntroductionThe objective of this study was to assess pre-treatment quality of life and the relevant clinical variables in adult patients with malocclusion in order to improve orthodontic treatment strategies.MethodsThe study was conducted in 240 consecutive adult patients with malocclusions divided into two groups: patients for whom an orthodontic treatment plan was considered, and patients for whom an orthognathic treatment plan was selected. Patients were examined between December 2015 and February 2017, at the School of Dental Medicine, University of Belgrade. Malocclusion severity was recorded using the Peer Assessment Rating index pre-treatment score. Skeletal malocclusion parameters were measured using lateral cephalometric radiographs. Quality of life was assessed by means of a generic questionnaire (Medical Outcomes Study Short Form-36 (SF-36)), and the disease-specific Orthognathic Quality of Life Questionnaire (OQLQ).ResultsThere were significant differences in the mean values of the OQLQ domain scores between orthodontic and orthognathic patients. Patients for whom orthodontic treatment was planned had statistically significantly lower scores in comparison to those for whom orthognathic treatment was planned. This was the case in all OQLQ domains except for “Awareness of facial deformity”. Statistically significant correlations (p<0.05) were presented between OQLQ scores and following demographic and clinical variables: gender, age, malocclusion severity, maxillary and mandibular sagittal, maxillary vertical, and lower incisor positions, intermaxillary angle, and the Beck Depression Inventory and Beck Anxiety Inventory levels. The independent predictors for the planning of orthodontic and orthognathic treatment in patients with malocclusion were two OQLQ domains, “Facial aesthetics” and “Awareness of facial deformity”, as well as total OQLQ score, after adjustment for demographic characteristics, skeletal parameters, anxiety and depression.ConclusionsOur findings suggest that patients for whom orthodontic treatment was planned demonstrated better quality of life according to the OQLQ scores in comparison to those for whom orthognathic therapy was planned.

Quality of Life Assessment in Patients with Malocclusion Undergoing Orthodontic and Orthognathic Treatment

University of Belgrade, School of Dental Medicine

Clinic of Neurology, Clinical Center of Serbia

Faculty of Medicine, University of Belgrade

Faculty of Medicine, Institute of Epidemiology

Slovenian Journal of Public Health

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

OCENA KAKOVOSTI ŽIVLJENJA PRI PACIENTIH Z MALOKLUZIJO, PRI KATERIH SE IZVAJA ORTODONTSKO IN ORTOGNATSKO ZDRAVLJENJE

IntroductionThe objective of this study was to assess pre-treatment quality of life and the relevant clinical variables in adult patients with malocclusion in...

Quality of Life Assessment in Patients with Malocclusion Undergoing Orthodontic and Orthognathic Treatment

Article Category: Original scientific article

Publié en ligne: 25 juin 2020

Pages: 137 - 145

Reçu: 05 juil. 2019

Accepté: 05 mai 2020

DOI: https://doi.org/10.2478/sjph-2020-0018

Mots clés
malocclusions, quality of life, orthodontic therapy, orthognathic therapy

© 2020 Ljiljana Vučić et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Quality of Life Assessment in Patients with Malocclusion Undergoing Orthodontic and Orthognathic Treatment

Article Category: Original scientific article

Publié en ligne: 25 juin 2020

Pages: 137 - 145

Reçu: 05 juil. 2019

Accepté: 05 mai 2020

DOI: https://doi.org/10.2478/sjph-2020-0018

Mots clésmalocclusions, quality of life, orthodontic therapy, orthognathic therapy

© 2020 Ljiljana Vučić et al., published by Sciendo

This work is licensed under the Creative Commons Attribution-NonCommercial-NoDerivatives 3.0 License.

Mots clés
malocclusions, quality of life, orthodontic therapy, orthognathic therapy